老龄化背景下某市村卫生室建筑无障碍水平分析  

Analysis of the barrier-free levels of village clinics of a city in the aging era

作　　者：周立芳 吕海源 任桂芳[2] 尹文强[1] 王安琪 唐昌海 陈钟鸣[1] Zhou Lifang;Lyu Haiyuan;Ren Guifang;Yin Wenqiang;Wang Anqi;Tang Changhai;Chen Zhongming(School of Management,Weifang Medical University,Weifang 261053,China;Administrative Office,People′s Hospital of Weifang City,Weifang 261041,China;School of Public Health,Weifang Medical University,Weifang 261053,China)

机构地区：[1]潍坊医学院管理学院,潍坊261053 [2]潍坊市人民医院办公室,潍坊261041 [3]潍坊医学院公共卫生学院,潍坊261053

出　　处：《中华医院管理杂志》2022年第2期139-142,共4页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金(71804131);山东省自然科学基金(ZR2019MG010);山东省高校科研计划项目(人文社科类)(J18RA052);山东省高等学校"青创科技计划"课题(2020RWG014)。

摘　　要：目的对老龄化背景下某市村卫生室建筑无障碍水平进行评价分析,为改善村卫生室老年人无障碍就医环境提供参考。方法2020年12月—2021年1月,课题组采用单纯随机抽样法,抽取某市12个县区的156家村卫生室的乡村医生作为调查对象,设立6个无障碍水平调查指标,每个指标设1~10分,对村卫生室建筑无障碍水平进行问卷调查。数据资料采用秩和比法和四分图模型进行统计分析。结果某市村卫生室建筑无障碍水平平均得分为32.86分。6项指标中,无障碍通道及门(7.21分)得分最高,无障碍停车位(4.71分)和无障碍厕所(3.28分)得分最低。基于村卫生室建筑无障碍水平和人口老龄化程度的四分图模型将某市所有县区划分为4类,包括2个老龄化程度高-无障碍水平高的县区、4个老龄化程度低-无障碍水平高的县区、4个老龄化程度低-无障碍水平低的县区和2个老龄化程度高-无障碍水平低的县区。结论某市村卫生室建筑无障碍水平有待进一步提高,应重点加强停车位、厕所等方面的无障碍改造。政府应根据各个县区的实际情况采取不同措施以提高村卫生室建筑无障碍水平,方便老年人就医。Objective To evaluate the barrier-free level of village clinics of a city in the aging era,for references in improving the barrier-free medical environment for the elderlies.Methods The village dectors of 156 village clinics in 12 counties of a city were selected as the objects of a questionnaire survey from Dec.2020 to Jan.2021,with 6 evaluation indexes established,each set with 1-10 points.This questionnaires was used to survey the barrier-free construction levels of village clinics.The data were statistically analyzed by rank sum ratio and quadrant graph model.Results The barrier-free buildings of such clinics scored 32.86 points in average.Among the six indexes,the barrier-free access and doors(7.21 points)scored the highest,and the barrier-free parking space(4.71points)and toilets(3.28 points)scored the lowest.All the counties of the city fell into four categories,including 2 counties with high degree of aging-high level of accessibility,4 counties with low degree of aging-high level of accessibility,4 counties with low degree of aging-low level of accessibility,and 2 counties with high degree of aging-low level of accessibility,according to the quadrant graph model built based on the aging degrees and the barrier-free levels of village clinics.Conclusions The barrier-free level of the village clinics in a city needs to be further improved,and the barrier-free transformation of parking space and toilets should also be strengthened in the future.The government should take different measures in view of conditions of each county to improve the accessibility of village clinics and facilitate the health care-seeking of elderlies.

关 键 词：老年人 村卫生室 无障碍建筑 秩和比 四分图模型 

分 类 号：R197.62[医药卫生—卫生事业管理]